Organization
CAROLINA COUNSELING SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER FORD KELLY M. ED., ED. S, LPC (MEMBER/MANAGER/COUNSELOR)
(919) 345-8965
Entity
Organization
Contact information
Practice address
316 W MILLBROOK RD, SUITE 101, RALEIGH, NC 27609-4478
(919) 345-8965
Mailing address
316 W MILLBROOK RD, SUITE 101, RALEIGH, NC 27609-4478
(919) 345-8965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5092
NC
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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